| Anthony N Dicesare Dds | |
|
240 Half Mile Road Red Bank NJ 07701 | |
| (732) 747-2888 | |
| (732) 747-4357 |
| Full Name | Anthony N Dicesare Dds |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 240 Half Mile Road, Red Bank, New Jersey |
| Authorized Official Name and Position | Anthony Nicholas Dicesare (PRESIDENT) |
| Authorized Official Contact | 7327472888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony N Dicesare Dds 240 Half Mile Road Red Bank NJ 07701 Ph: (732) 747-2888 | Anthony N Dicesare Dds 240 Half Mile Road Red Bank NJ 07701 Ph: (732) 747-2888 |
| NPI Number | 1700950862 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700950862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 22DI00812601 (New Jersey) | Primary |
| 1223P0300X | Dentist - Periodontics | 0247531 (New York) | Secondary |
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